NPIMap

Organization Active NPI

Associated Retina Consultants, L.T.D.

Doing business as Retina Specialists of Southern Arizona

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1063784312
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ASSOCIATED RETINA CONSULTANTS, L.T.D.
Doing business as
Retina Specialists of Southern Arizona
Practice address
4753 East Camp Lowell Drive
Tucson, AZ 85712-1256
Phone
(520) 881-1400
Fax
(520) 881-1418
NPI assigned
Feb 2, 2012
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSOCIATED RETINA CONSULTANTS, L.T.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Quinn
Title
Office Manager
Phone
(520) 881-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

4753 East Camp Lowell Drive
Tucson, AZ 85712-1256

Mailing address

4753 East Camp Lowell Drive
Tucson, AZ 85712-1256
Phone (520) 881-1400

Other names 1

  • Retina Specialists of Southern Arizona Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607001002 AZ Part B Supplier - Clinic/Group Practice 4486547395 Receives reassigned benefits from 18 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sedona, AZ; Scottsdale, AZ; Prescott Valley, AZ; Prescott, AZ; Phoenix, AZ; Peoria, AZ; Mesa, AZ; Goodyear, AZ…

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Associated Retina Consultants LTD6 organizations share this tax ID, including this one
Part of
Associated Retina Consultants LTD

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1063784312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 EAST CAMP LOWELL DRIVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-881-1400",
            "fax_number": "520-881-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 EAST CAMP LOWELL DRIVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-881-1400",
            "fax_number": "520-881-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED RETINA CONSULTANTS, L.T.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED RETINA CONSULTANTS, L.T.D.",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-881-1400"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Specialists of Southern Arizona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.